NPI | 1982062717 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD PAUL SUCH President 517-290-5535 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 3850984) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2016-02-08 |